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Please do not discuss the test or the test environment with anyone before the Test is over.

A large provider group has been reluctant to invest in a clinical decision support (CDS) module to augment their HL7-compliant EHR system. As the IT manager for the practice, you recognize the potential benefits of investing in a CDS module—everything from improving patient out-comes to potentially increasing revenue—and are frustrated by their lack of interest. In a recent managerial meeting, the nurse manager discussed several adverse medication-related issues that had been reported to the practice. In one case a patient had been prescribed a medication they were allergic to, and in another case the patient experienced difficulty breathing due to a contra-indication between the new medication prescribed (ACE-inhibitor) and one that he was already taking (Lithium). The health information exchange standard that would be employed in a CDS would be the ______________________________.

In your role as an IT specialist at your hospital, you have been approached by the chair of the pediatric department to assist in the creation of a database for collecting information on a variety of childhood communicable diseases and vaccination status. You propose using a data warehouse, which would pull information from the hospital’s clinical repository. The chairperson is unfamiliar with these terms and asks for clarification. The chairperson states he is familiar with flat file databases and asks about their use for this project. You state that a relational database may be the better choice. Relational databases, by virtue of having less redundancy, protect data integrity better.

A large provider group has been reluctant to invest in a clinical decision support (CDS) module to augment their HL7-compliant EHR system. As the IT manager for the practice, you recognize the potential benefits of investing in a CDS module—everything from improving patient out-comes to potentially increasing revenue—and are frustrated by their lack of interest. In a recent managerial meeting, the nurse manager discussed several adverse medication-related issues that had been reported to the practice. In one case a patient had been prescribed a medication they were allergic to, and in another case the patient experienced difficulty breathing due to a contra-indication between the new medication prescribed (ACE-inhibitor) and one that he was already taking (Lithium). The CDS could have prevented the adverse medication issue by: 

George is an 80-year-old man in relatively good health. However, he sees many of his friends dealing with healthcare issues and how families sometimes bicker over the healthcare decisions of a loved one who is incapacitated. George would like to be confident that no issues like that would occur in the event of a decline in his mental function, so he is going to issue what type of legal document(s) that will be effective in the event he becomes incapacitated?

As the IT director for a large tertiary care center, you were asked to create a database that will collect patient information for the oncology department. You narrowed your database structure to either a relational or a NoSQL database model. The head of oncology asked you to attend a meeting to elaborate on the ability of these models to meet his team’s needs and get their feedback prior to making a final decision. The NoSQL database is not the better choice to meet the oncology division’s needs for ease of growth and ability to aggregate data. Cost and time savings are benefits as well. These benefits outweigh the ease of searching the relational database.

As the IT director for a large tertiary care center, you were asked to create a database that will collect patient information for the oncology department. You narrowed your database structure to either a relational or a NoSQL database model. The head of oncology asked you to attend a meeting to elaborate on the ability of these models to meet his team’s needs and get their feedback prior to making a final decision. The NoSQL model can process large data sets quickly. Rather than being structured in tables, the data are document- or graph-oriented. The NoSQL database model is preferable if aggregated data is important. This model can also allow current trending and analytics. The structure of this model allows for easy growth by linking another storage machine with no need to migrate an entire database. Thus, NoSQL databases require less time and money than relational databases, which require a new machine with enough storage to hold all the information in the database.

In your role as an IT specialist at your hospital, you have been approached by the chair of the pediatric department to assist in the creation of a database for collecting information on a variety of childhood communicable diseases and vaccination status. You propose using a data warehouse, which would pull information from the hospital’s clinical repository. The chairperson is unfamiliar with these terms and asks for clarification. Select all answers that apply. The concept of clinical repository include: 

Early onset familial Alzheimer’s disease runs in Ruth’s family. Her mother had the disease, and Ruth has just had genetic testing, which indicates she will have the disease as well. After her initial shock, Ruth has decided to be proactive with her healthcare and decided to make her daughter responsible for her healthcare decisions once she is unable to make them for herself. Ruth needs to complete what legal document to ensure her daughter is legally empowered to make those decisions?

Manufacturing work that a company contracts out to another organization, either domestically or internationally, is called: